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What to Expect from Treatment at Denver Diabetes Counseling
Jenna Eisenberg, a Licensed Marriage and Family Therapist will help provide a safe place for you to express your thoughts and feelings and for you to work toward resolving your problems, whether they are related to Diabetes or not. You will have the opportunity to discuss your concerns and experiences, and Ms. Eisenberg will try to understand things from your point of view. Counseling will also help you explore alternative points of view and possible choices you have to make. Clarifying the connections between your immediate concerns and the complexities of your personality and personal history are also typical components of treatment at Denver Diabetes Counseling.
Ms. Eisenberg often incorporates couples and family therapy into treatment when appropriate. And, if your are Diabetic, she prefers to work in unison with your Diabetes doctor or Endocrinologist.
Once you and Ms. Eisenberg agree that significant progress has been
made regarding Diabetes related issues, psychotherapy may continue to address other important areas of your life.
Your Rights as a Client
* You have the right to work with the therapist you feel most comfortable with.
* You have the right to terminate therapy at any time; however, please let Ms.
Eisenberg know if you are not receiving the support or other services that you need
or expect anytime during treatment.
* You have the right to confidentiality, albeit specific legal exceptions, and must provide
me written consent to contact other people relevant to you.
* You have the right to file a formal complaint against any mental health services you
receive.
Common Psychological Issues Addressed in Counseling with Type 1 and Type 2 Diabetics
Type 1 and Type 2 Diabetics, Diagnosed for at Feast One Year
Remember, family and friends of Diabetics can also experience most issues
issues described below
* Focus on what the disease means to the you.
* Responsibility – yours, your therapist's and other members of your
family/community.
* Stress management.
* Processing Anxiety.
* Difficulties adhering to diabetes treatment, this is usually done by
keeping a week-long journal of glucose levels, insulin, food
consumption, exercise, thoughts, feelings and moods, which will then
be reviewed and processed in sessions.
* Interpersonal/relationship difficulties.
* Addressing shame/guilt.
* Increasing your support system.
* Lifestyle changes.
* Realization of one’s mortality and vulnerability.
* Dependence on health professionals.
* Knowledge/fear of possible long-term complications.
* Shame re: hypoglycemic episodes in public; Fear re: low blood
sugar when alone.
Depression is also very common in diabetics, and is not generally listed as a complication of Diabetes. However, it can be one of the most common and dangerous complications. The rate of depression in diabetics is much higher than in the general population. Diabetics with major depression have a very high rate of recurrent depressive episodes within the following five years. (Lustman et al 1977). A depressed person may not have the energy or motivation to maintain good diabetic management. There is some suggestion that the stress of depression itself may lead to high blood sugar in diabetics. Treatment of anxiety and depression may lead to a better medical prognosis and well as a better quality of life.
For Newly Diagnosed Type 1 and/or Type 2 Diabetics:
Remember, our family and friends can also experience most issues described below
Learning you have Diabetes can feel overwhelming. There is so much to think about, and more than likely you will need to make major lifestyle changes. When first diagnosed, you will likely be in denial. This is common for anyone who is told they have a life threatening disease, such as Diabetes. In the initial phases of treatment, attempting to explore and deal with these sudden feelings will assist you in avoiding certain unhealthy behaviors. Treatment for newly diagnosed diabetics will also address many of the above psychological issues; however, they are often faced with several of the issues below as well.
* Grief
* Denial
* Anxiety
* Depression
* Shame
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If you try to say the very same thing with more than one word, you will need different variants of the plural each word.
"Vitas," Latin singular "vita", is one of these words (and there are many), but it has no connection to anything Greek (or Latin). It has no meaning of its own in English and can be used by anyone (including you) to mean literally any kind of food. It is the word by which most people in the West describe "diverse" and "variety" soups.
"Vidad" translates to a broader Latin plural and doesn't require any modification or qualification; the word just refers to "diversified" soup (which is only a generalization), or any soup in which some of the ingredients have been changed (that would be the meaning of "diverse").
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Puerto was not a colonizer, and its very existence had nothing to do with the founding of U.S. It was independent, but the people were not of European origin and the culture was entirely different from that found on Cuba or other Spanish colonies. There is not even a common vocabulary for certain topics among Puerto Ricans, as Spanish is primarily the language most people consider for communication (because in the United States are mostly fluent in Spanish, while many on the island are not). As a result, it isn't even possible to communicate at all with people who speak only English.
To sum up, the English words of following can be used for "diverse," "vitality," "variety," or "purity." The Puerto Rican words of these can be used for the country, state, or its capital, although the state is less commonly used.
"Puerto Rican," as used above, is not even a word in its own country as it means nothing of its own; no one uses it in the first place and so no one understands it.
2. It's common for people to use this term without realizing what it actually meant.
Puerto Rico is a Caribbean island located in the Sea. It's territory dates back to 1495 and is one of the poorest country on Earth. There are only 1 to 2 people on the island, while many thousands of people on other places, like Cuba, Jamaica, and the Dominican Republic, have similar is valsartan the generic for diovan populations to that in Puerto Rico. As such, the island of Puerto Rico does not have the same history, as was case for Cuba or Jamaica.
The United States became a power and colonial enterprise in Latin America during the latter half of nineteenth century and so it is often regarded as "a land of endless opportunity" (or if you will see it from the United States' standpoint as "land of opportunity") with only many challenges that have to be overcome.
As a result, "Puerto Rican" is the term for Puerto Ricans in popular media and as it is used more and in scientific technical fields, it has lost meaning and become quite pejorative.
Most people who are not even acquainted with the specific details of island, where it belongs, or its culture are likely to regard it as a "foreign country" with no place in the world.
3. Some consider it a slur.
Some people on the islands tend to resent and criticize "Puerto Rican" because it sounds very much like a racist and colonial term or two, like the Latin words used in America, Haiti, the Dominican Republic, "Chibcha," "Carib"
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